Zhongguo wei zhong bing ji jiu yi xue = Chinese critical care medicine = Zhongguo weizhongbing jijiuyixue
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jan 2012
Meta Analysis[Influence of albumin as a resuscitation fluid on the prognosis of patients with sepsis: a Meta-analysis].
To compare the effect of albumin as a resuscitation fluid with other fluids in lowering the mortality of patients with sepsis. ⋯ The Meta-analysis shows that by using albumin-containing fluids for resuscitation can not lower the mortality of sepsis as compared with other fluids.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jan 2012
Randomized Controlled Trial Comparative Study[The influence of lactate Ringer solution versus hydroxyethyl starch on coagulation and fibrinolytic system in patients with septic shock].
To investigate the influence of lactate Ringer solution (RL) versus hydroxyethyl starch 130/0.4 (HES130/0.4) solution on coagulation and fibrinolytic system in the patients with septic shock. ⋯ Both RL and HES130/0.4 fluid resuscitation did not affect the outcome of the patients with septic shock, but the resuscitation efficiency of HES130/0.4 is much better than RL. Both type of fluids did not show the effect on coagulability of the septic patients, but colloid fluid resuscitation may protect the vascular endothelial cell, reduce the inhibition of fibrinolytic system, and alleviate hypercoagulability state of patients in early stage.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jan 2012
Randomized Controlled Trial Comparative Study[A clinical study of pituitrin versus norepinephrine in the treatment of patients with septic shock].
To investigate whether pituitrin can lower 28-day mortality as compared with treatment with norepinephrine (NE) in patients with septic shock. ⋯ Combined use of pituitrin in patients with septic shock can reduce the dosage of catecholamines, and decrease the heart rate. Although it can not lower the overall mortality of septic shock, among patients with less severity whose APACHE II score lower than 25, low-dose pituitrin in conjunction with catecholamine vasopressors can reduce 28-day mortality .
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jan 2012
Randomized Controlled Trial[Short-term intensive glucose control in patients with severe acute pancreatitis].
To investigate effects of intensive glucose control (IGC) on glucose variability (GV) and clinical outcomes in patients with severe acute pancreatitis (SAP), and to assess predictive values of different measures of GV on intensive care unit (ICU) death. ⋯ IGC had an effect to reduce GV, decrease ICU mortality, shorten length of ICU stay, and lower the incidence of infection. Compared with GLU(SD) and GLU(MAGE), GLU(GLI) was the best predictor of ICU death.
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Zhongguo Wei Zhong Bing Ji Jiu Yi Xue · Jan 2012
Randomized Controlled Trial[The effect of early goal lactate clearance rate on the outcome of septic shock patients with severe pneumonia].
To observe the clinical effects of 10%, 30% lactate clearance rate and early goal-directed therapy (EGDT) as 6-hour resuscitation goals directing treatment in septic shock patients with severe pneumonia. ⋯ For the septic shock patients with severe pneumonia, prompt archiving EGDT strategy and 6-hour lactate clearance more than 30% were associated with an optimal outcome.